Nursing Elites

1. The type of protein-energy malnutrition that results in edema, hypoalbuminemia, skin lesions, and fatty liver is:

• A. cachexia.
• B. marasmus.
• C. kwashiorkor.
• D. sarcopenia.

Correct answer: C

Rationale: The correct answer is C, kwashiorkor. Kwashiorkor is a type of protein-energy malnutrition characterized by edema, hypoalbuminemia, skin lesions, and fatty liver. Edema is a key feature of kwashiorkor due to hypoalbuminemia, which leads to decreased oncotic pressure. Marasmus (choice B) is a form of severe malnutrition characterized by energy deficiency without significant protein deficiency, resulting in severe wasting. Cachexia (choice A) is a syndrome characterized by weight loss, muscle atrophy, fatigue, weakness, and loss of appetite in someone who is not actively trying to lose weight. Sarcopenia (choice D) is the age-related loss of muscle mass and function.

2. Which nutrient group provides the primary source of energy for the body?

• A. Carbohydrates.
• B. Fats.
• C. Proteins.
• D. Vitamins.

Correct answer: A

Rationale: Carbohydrates are the body's primary source of energy. When carbohydrates are consumed, they are broken down into glucose, which is used by the body's cells for energy production. Fats and proteins are also essential nutrients, but carbohydrates are the preferred energy source for the body due to their quick conversion into fuel. Vitamins are not a direct source of energy but play crucial roles in various bodily functions.

3. What can excessive intakes of dietary protein do?

• A. cause vitamin deficiencies.
• B. impair kidney function.
• C. increase weight loss.
• D. decrease production of indispensable amino acids.

Correct answer: B

Rationale: Excessive intake of dietary protein can lead to impaired kidney function over time. Excessive protein consumption can put a strain on the kidneys as they work to eliminate the byproducts of protein metabolism. This can potentially lead to kidney damage. Choices A, C, and D are incorrect. Excessive protein intake is not directly linked to causing vitamin deficiencies, increasing weight loss, or decreasing the production of indispensable amino acids.

4. Infections are common in people who have inadequate protein intake because of an insufficient quantity of:

• A. insulin.
• B. lipoprotein.
• C. antibodies.
• D. albumin.

Correct answer: C

Rationale: Inadequate protein intake can lead to a decrease in antibody production, making individuals more susceptible to infections. Insulin (Choice A) is a hormone involved in regulating blood sugar levels, not related to protein intake. Lipoprotein (Choice B) is a type of lipid-protein complex involved in lipid transport, not directly related to antibody production. Albumin (Choice D) is a protein that helps maintain oncotic pressure and carries various substances in the blood, but it is not primarily responsible for fighting infections like antibodies.

5. Individuals with optimal nutritional status differ from those with marginal nutritional status in their:

• A. nutrient reserves.
• B. clinical signs.
• C. body weight.
• D. risk of mental illness.

Correct answer: A

Rationale: Individuals with optimal nutritional status differ from those with marginal nutritional status in their nutrient reserves. Optimal nutritional status implies having adequate nutrient reserves, which is lacking in marginal status. Clinical signs (choice B) may or may not be present in both groups and are not the differentiating factor between optimal and marginal statuses. Body weight (choice C) can vary for reasons other than nutritional status. The risk of mental illness (choice D) is not directly related to the comparison between optimal and marginal nutritional status.

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